Duncan, Lyn Mcdivitt
Duncan, Lyn Mcdivitt is an individual health care provider with primary practice located at 55 Fruit St Wrn 825, Boston MA 02114. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatopathology, Allopathic & Osteopathic Physicians / Anatomic Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology is her primary health care specialty. Duncan, Lyn Mcdivitt can be contacted via phone (617) 726-5209.Contact Information
Primary practice address
55 Fruit St Wrn 825
Boston MA 02114
Phone: (617) 726-5209
Fax: (617) 643-1624
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatopathology | 207ND0900X | 73791 | Massachusetts |
| Allopathic & Osteopathic Physicians / Anatomic Pathology | 207ZP0101X | 73791 | Massachusetts |
Profile Details
| NPI number | 1073563698 |
|---|---|
| LBN Legal business name | Duncan, Lyn Mcdivitt |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 12th, 2006 |
| Last updated | Apr 14th, 2011 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073563698 | NPPES |
| Massachusetts | Other | J11623 | BCBS MA |
| Massachusetts | MEDICAID | 3083837 | BCBS MA |
| Massachusetts | Other | 084165 | BCBS MA |
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